It has been represented to me by the governor of the state of ___ that ___ in a criminal complaint supported by affidavit and authenticated by the governor stands charged with the crime of ___ and ___ fugitive- from the justice of the state and ha- taken refuge in the state of ___, and the governor of the state having, in pursuance of the constitution and laws of the United States, requested me in writing that I shall cause ___ arrest and delivery to ...

The prosecuting attorney alleges that the accused (was) (was not) present in the State of ___ at the time of the offense above charged (if accused was present at time crime was committed, add "and that the accused then fled;" if accused is sought for acts committed in another state, add &quot;but the accused's acts committed in another state: ___ resulted in the crime in the State of ___&quot;) and that the accused is now believed to be in the ___(City)

I, ___, acknowledge that I am charged in a Court of ___ County, ___, with felony offenses of ___ and that a warrant number ___ has been issued from the State for my arrest. I waive the issuance and service of the warrant provided by law for my extradition from the State of ___ to the State of ___, and I acknowledge to ___, Judge of the ___ Judicial Court of ___ County, ___, that I am willing to return in the custody of any ...

Certificate-Authenticity of transcript. I, ___, Clerk of the District Court of the State of ___, in and for ___ County, certify that the above is a true transcript of ___ as the transcript appears of record in my office. I have set my hand and affixed the seal of the Court in my office at ___ in this county, on ___[date].

1. ___[He or She] is the same ___[name] who was duly appointed extradition agent in the matter of the extradition of ___[name of fugitive] by the governor of the State of ___[demanding state] on ___. 2. ___[He or She] found the same ___[name of fugitive] on ___ in the custody of ___[name], ___[office], County of ___, State of ___[asylum state]. 3. ___[Name of fugitive] has been positively identified as the same ...

___ being duly sworn is the complainant in the prosecution instituted against ___ and for trial upon which the accused's surrender is sought on the above application, and that the complainant has read the application and believes all the statements are true. Complainant further states a belief that the accused is now in the State of ___ and that complainant desires the accused's return only for the purpose of public justice, and not to give opportunity for the service of ...

Approval by attorney general. Department of Attorney General After examining the attached application and related documents for extradition of ___, I respectfully submit that in my opinion the application is in due form and complies with the requirements of law.

The Governor of the State of ___ I authorize and empower ___ to take and receive from the proper authorities of the State of ___, ___ fugitive- from justice, and convey ___ to the proper authorities of ___ County of this State, there to be dealt with according to law. I set my hand and caused to be affixed the Great Seal of the State of ___, at the capitol, in the City of ___, on ___[date].

Verification by prosecuting attorney. ___ being duly sworn is the Prosecuting Attorney for the County of ___ in the state, has read the above signed application and believes all the statements are true, that the crime charged is a violation of the laws of the State of ___ and believes the accused party named to now be in the State of ___. Subscribed and sworn to before me this ___ day of ___[month], ___[year].

It appears by the annexed papers which I certify to be authentic and duly authenticated in accordance with the laws of this State, that ___ stand- charged with the crime- of ___ which I certify to be ___ crime- under the laws of this State, and that the accused w ___ present in this State at the time of the commission of the crime and then fled from this State, or the accused committed an act resulting in the crime in this State, and may now be found in the State of ...

I, ___, one of the Judges of the District Court of the State of ___, in and for the ___ Judicial District of the State, composed of the counties of ___, certify that ___, who has given the above certificate, was, at the time of so doing, the Clerk of the District Court of the State of ___, in and for ___ County, in said District, duly qualified as Clerk, and is the proper custodian of the records of the Court, and the proper officer to give a ...

Return of governor's warrant. I, ___ an officer entrusted with the execution of the attached warrant, make the following return: On ___[date], I caused the arrest of the fugitive ___ named in the warrant. Subsequently on ___[date], the fugitive ___ delivered to the agent named in the warrant, whose receipt is annexed to and made a part of this return.

I, ___, Clerk of the District Court of the State of ___, in and for the above County, certify that the Honorable ___ who has given the preceding certificate, was, at the time one of the Judges of the District Court of the ___ Judicial District of the State of ___, duly commissioned and sworn, to whose full faith and credit are and ought to be given. In testimony I have set my hand and affixed the seal of the Court at ___, ___, in the above county, on ...

Condition precedent to parole. I, ___ freely, voluntarily and without compulsion, waive extradition to the State of ___, or any other State of the United States, and also agree that I will not contest any effort by any State of the United States to return me to the State of ___.

Affidavit as to identity of prisoner by officer in asylum state. 2. On that date, ___[he or she] had the physical custody of ___[name of fugitive], arrested pursuant to an arrest and extradition warrant issued by the governor of the State of ___[asylum state]. 3. ___[He or She] has carefully examined the extradition papers forwarded from the State of ___[demanding state] in the matter of the extradition of ___[name of fugitive], and particularly the ...

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